BERGE JACK DADOURIAN (M.D.) – Cardiovascular Disease Physician, NPI 1003819749

BERGE JACK DADOURIAN (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 5819 (NV). The NPI Number for BERGE JACK DADOURIAN (M.D.) is 1003819749

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
BERGE JACK DADOURIAN (M.D.)
NPI
1003819749
Phone
(702) 906-1100
Address
400 S RAMPART BLVD
Enumeration Date
26 May 2005
Last Update Date
18 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
7029061100
Graduation Year
1982 (44 years ago)
PAC ID
4183706906
Group Practice PAC ID
2668609355
Professional Enrollment ID
I20101118000500
Address ID
NV891455742LA400XXBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

238 CARDIOVASCULAR DISEASE (CARDIOLOGY) in NV

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Provider Addresses for BERGE JACK DADOURIAN (M.D.)

  • South Rampart Boulevard, Queensridge, Summerlin, Las Vegas, Clark County, Nevada, 89145-5800, United States

    SUITE 240

    LAS VEGAS, NV 891455721

    Phone: (702) 906-1100

    Fax: (702) 906-1110

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $270.

Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: CVRx, Inc. ($210).

Total Amount

$270

General + Research + Ownership

Payments

6

Total payment records

General Amount

$270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101118000500ICardiovascular Disease (Cardiology)NVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1,092335$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report936329$0
99214Established patient office or other outpatient visit, 30-39 minutes156106$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function132130$0
93880Ultrasound of both sides of head and neck blood flow125125$0
View full utilization report →

Insurance plans in this area (ZIP 89145)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668609355View full group profile
NameSpecialtyState
E N D O C R I N O L O G YNV
R H E U M A T O L O G YNV
Cardiovascular Disease (Cardiology), Internal MedicineNV

Reviews

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Frequently asked questions

Can I verify BERGE JACK DADOURIAN (M.D.) with an NPI only?
You can start verification with NPI 1003819749 for BERGE JACK DADOURIAN (M.D.), then check state licensing separately.
Is BERGE JACK DADOURIAN (M.D.) still practicing?
BERGE JACK DADOURIAN (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes BERGE JACK DADOURIAN (M.D.)?
For research purposes, treat BERGE JACK DADOURIAN (M.D.) as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does BERGE JACK DADOURIAN (M.D.) list a practice location?
Patients near Las Vegas, Nevada may find BERGE JACK DADOURIAN (M.D.) in results; validate coverage separately.
Why does BERGE JACK DADOURIAN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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